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Nursing Informatics


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[Front]


Evolve from the French word ―informatics Referred to the field of applied computer science Concerned with the processing of information such as nursing information
[Back]


Nursing informatics

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Health Information Technology (HIT) refers to technology that:
Captures health information Processes health information Generates health information
Computerization affects all aspects of healthcare delivery including:
Provision and documentation of patient care Education of healthcare providers Scientific research for advancing healthcare delivery Administration of healthcare delivery services Reimbursement for patient care Legal and ethical implications Safety and quality issues
HIT or computerization is a shift toward:
Integrating multiple technologies and telecommunication devices Invisible devices such as cloud storage user-friendly, menu-driven, touchscreen manipulation methods
Computers in nursing are used for:
Managing patient care information Monitoring quality evaluating outcomes Communicating data and messaged via the Internet Accessing resources Interacting with patients on the web
Seven Time Periods:
Prior to the 1960s 1960 1970 1980 1990 2000 2010
Computers in nursing informatics are used for:
Documenting and processing real-time plans of care Supporting nursing research Testing new systems Designing new knowledge databases
Seven Time Periods: Prior to the 1960s: A few experts formed a ??? to adapt computers to healthcare and nursing
Cadre a small group of people specially trained for a particular purpose or profession
Seven time periods: 1960s: Studies were conducted to?
Determine how computer technology could be utilized
Seven time periods: 1960s: The nurses' station was viewed as?
The most appropriate center for development of computer applications
Seven time periods: During the late 1960s through the 1970s, hospitals began developing computer-based information systems which initially focused on:
1. Physician order entry 2. Results reporting 3. Pharmacy 4. Laboratory 5. Radiology reports 6. Information for financial and managerial purposes 7. Physiologic monitoring systems in the intensive care units
Seven time periods: 1970s: A few systems started to include:
Care planning Decision support Interdisciplinary problem list
Seven time periods: 1970s: In the 1970s, conferences helped public and home health nurses:
1. Understand the importance of nursing data and their relationship to new Medicare and Medicaid legislation 2. Provide information on the usefulness of computers for capturing and aggregating home health and public health information.
Seven time periods: - The field of nursing informatics exploded and became visible in the healthcare and nursing - The nursing profession needed to update its practice standards and determine its data standards, vocabularies, and classification schemes that could be used for the computer based patient record systems - Many mainframe healthcare information systems (HISs) emerged with nursing subsystems - These systems documented several aspects of the patient record - The microcomputer or personal computer (PC) emerged during this period - The first Nursing Special Interest Group on Computers met for the first time during SCAMC (Symposium on Computer Applications in Medical Care) – the ANA approved the formation of the Council on Computer Applications in Nursing (CCAN) – CCAN became a very powerful force in integrating computer applications into the nursing profession – The first edition of this book published1980
Seven time periods: - Advances in relational databases, client-server architectures, and new programming methods - Better application development at lower costs – The complexity of technology, workflow analysis, and regulations shaped new roles in nursing – Legislative activity in the mid-1990s paved the way for electronic health records through the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (public-law 104-19) – In 1992, the ANA recognized nursing informatics as a new nursing specialty separate Scope of Nursing Informatics Practice Standards, and also established a specific credentialing examination for it – The demand for nursing informatics (NI) expertise increased – The ANA developed the Nursing Information and Data Set Evaluation Standards (NIDSEC) to evaluate and recognized nursing technology rapidly changed in the 1990s – The purpose of Information systems was to guide the development and selection of nursing systems that included standardized nursing terminologies integrated throughout the system1990s
Seven time periods 1990: Legislative activity in the mid-1990s paved the way for?
Electronic health records through the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (public-law 104-19)
Seven time periods 1990: The ANA developed the Nursing Information and Data Set Evaluation Standards (NIDSEC) to evaluate and recognized nursing technology rapidly changed in the 1990s: 1-5
1. PC's become smaller 2. Computer notebooks became affordable 3. Computers were linked through networks 4. The internet became mainstream 5. The World Wide Web (WWW) increased access to information
Seven time periods 1990: The purpose of Information system was to?
Guide the development and selection of nursing systems that included standardized nursing terminologies integrated throughout the system.
Seven Time Periods: – More healthcare information became digitalized and newer technologies emerged – In 2004 an Executive Order 13335 – Wireless, point of care, regional database projects, and increased IT solutions proliferated – The use of bar coding and radio-frequency identification (RFID) emerged as a useful technology – Smaller mobile devices with wireless or Internet access increased access to information for nurses within hospitals and in the community – The development and refinement of voice over Internet protocol (VoIP) provided voice cost-effective communication – The Internet provided a means for development of clinical applications – The nursing informatics research agenda promoted the integration of nursing care data in HIT systems that would also generate data for analysis, reuse, and aggregation2000s
Seven Time Periods: 2000s: In 2004 an Executive Order 13335:
-Established the Office of the National Coordinator (ONC) for healthcare Information Technology (HIT) -Issued a recommendation calling for all healthcare providers to adopt interoperable electronic health records (EHRs) by 2014/2015
Seven Time Periods: 2000s: What emerged as a useful technology in this time period?
The use of bar coding and radio-frequency identification (RFID)
Seven Time Periods: 2000s: The nursing informatics research agenda promoted the?
Integration of nursing care data in HIT systems that would also generate data for analysis, reuse, and aggregation
Seven time periods: 2010: During 2010, the ONC convened two national committees:
National Committee on Health Policy National Committee on Health Standards which outlined and designed the focus for the "Meaningful Use" (MU) legislation
Seven time periods: 2010: – In 2011/2012 MU Stage 1 was initiated focusing primarily on?
The Computerized Physician Order Entry (CPOE) initiative for physicians
The basic hardware of a computer composes the computer's architecture, and includes: 1-6
-Electronic circuits -Microchips, processors -Random Access Memory (RAM) -Read-Only Memory (ROM) -Graphic and sounds cards -Motherboard (where all the remaining components are attached to)
Devices that may be inside the computer case but are not part of the architecture include:
-Main storage device which is usually an internal hard drive -Cooling system -Modem -Ethernet connectors -Optical drives -Universal Serial Bus (USB) connectors -Multi-format media card readers
Devices attached or linked to a computer that are peripheral to the main computer box are part of the system's hardware and these include:
-Input and output devices, including the: keyboard, touch screen, mouse, printer, and fax -Storage components such as: external hard drives, thumb drives, floppy drives, tape drives, sound systems (earphones, microphones, speakers, subwoofers) -computer monitor
Memory: RAM is called volatile memory because:
Everything in RAM unloads (is lost) when the computer is turned off
Hard Drive: For small computers, it is typically:
Inside the case or box that houses the CPR and other internal hardware
Hard Drive: True or False: Internal hard drives are portable; they are not plugged directly into the motherboard.
False, Internal hard drives are not portable; they are plugged directly into the motherboard
The many names for flash drive are:
Pen drive, jump drive, thistle drive, and pocket drive